การสอบสวนการระบาดโรคไข้ปวดข้อยุงลาย หมู่ 10 ตำบลมาบปลาเค้า อำเภอท่ายาง จังหวัดเพชรบุรี (12-29 มกราคม 2553)

บทคัดย่อ

     Report of outbreak investigation in view of the case management of epidemic Chikungunya fever at Moo 10, Tambon Mapplakhoa Thayang district Phetchaburi, made with the objective to 1) confirm the diagnosis, occurrence of the disease, outbreaks of the disease, to study characterization and distribution of diseaseion by person, time, place. 2) to seek measures to prevent or control the spread of disease and direction of the management team as Head SRRT Thayang District. Descriptive epidemiology and interviewing patients related diseases were used as a probe.

     The results showed that District Mapplakhao had an outbreak of Chikungunya fever. Patients with symptoms were compatible with the definition of the disease (fever and symptoms associated with the following two items with the pint swelling or bone pain, joint pain or rash). A total of 37 cases were collected. Blood samples of patients to confirm the infection causing the disease were infected in 8/12. The ratio of male to female was 1: 1.17 and average age was 35 years. Most cases occurred in December 2009, 21 cases (56.76%), 14 cases (37.84%) in January 2010 and 2 cases (5.40%) in November 2009. The distribution of the locations that patients found were the most among at Moo 10 of 33 cases (89.19%), Moo 8 of 3 cases (8.11%) and Moo 6 of 1 patient (2.70%). The first patient was female, 33 years of age, living at Moo 10, with a history of traveling to trade outsourcing and tapping rubber at Thamailai Hua Hin, Prachuapkhirikhan Province, where outbreaks of the disease had occurred. Most of the patients had self medication entered or private clinics caused absence of disease report. Base which causes outbreaks of disease and large numbers of patients. Disease control and prevention measures set forth below. District Mapplakhao surveillance should have a team of local district policy, consistent with strong, sustainable disease controls are compatible with volunteers, people, journalist and local private hospital. This will help detect the diseases and let the team SRRT detects know immediately of cases. The hype continues for exploration and getting rid of mosquito larvae and mosquito breeding sources. The mosquito index should be zero. Environmental cleanup campaign in the community should be made regularly. If new patients was found, measures to destroy the mosquitoes should be done soon to prevent the spread of the disease. Executive director is responsible for supportion of the resources required for the operation until the disease is quiet.